SHORT COMMUNICATIONS

Surveillance on soil-transmitted helminth infections in Gongshan County of Yunnan Province from 2016 to 2021

  • DUAN Chenli ,
  • HE Dongmei ,
  • YANG Shu ,
  • ZHANG Yanli ,
  • LUO Zirong ,
  • XIONG Bicai ,
  • ZI Jinrong ,
  • PENG Jia ,
  • WU Fangwei
Expand
  • 1 Nujiang Center for Disease Control and Prevention, Lushui 673199, Yunnan, China
    2 Nujiang People’s Hospital, Lushui 673199, Yunnan, China
    3 Gongshan Center for Disease Control and Prevention, Gongshan 673599, Yunnan, China
    4 Yunnan Institute of Parasitic Diseases, Pu’er 665000, China

Received date: 2023-05-12

  Revised date: 2023-07-03

  Online published: 2023-12-13

Abstract

To understand the prevalence and transmission of soil-transmitted helminth (STH) infection in Gongshan County. From 2016 to 2021, according to the National Surveillance Program for Liver Fluke Diseases and Soil-transmitted Nematodes (Pilot). The Gongshan County were selected from five areas (east, west, south, north and central). From each of the areas, a township was randomly selected, and then an administrative village was selected from each township as the surveillance site every year. Over 200 permanent residents above 3 years old were cluster sampled from each administrative village and no less than 1 000 residents were included every year. Fecal samples were collected from the participants for examining and counting STH eggs using the modified Kato-Katz thick smear method to calculate the infection rate. Hookworm egg-positive samples were further identified for species by test tube-filter paper culture method. The eggs of Enterobius vermicularis were detected by the cellophane tape method in children aged 3-9 years. The species and number of infected were recorded, and the infection rate was calculated. The infection rate between groups was compared by the Chi-square test. The fecal samples from 6 175 residents were examined with 928 samples infected with STH. The total infection rate was 15.03% (928/6 175). The infection rates of hookworm, Ascaris lumbricoides, whipworm and Enterobius vermicularis were 3.27% (202/6 175), 7.92% (489/6 175), 8.87% (548/6 175) and 0.19% (12/6 175) respectively. The E. vermicularis eggs were detected by the cellophane tape method in children aged 3-9 years. A total of 823 children were examined and 6 were infected. A total of 202 cases of hookworm infection were identified by the test tube filter method. Among them, 89 cases were infected with Necator americanus, 72 cases were infected with Ancylostoma duodenale and 1 case was infected with both, accounting for 44.06% (89/202), 35.64% (72/202) and 0.50% (1/202), respectively. Minor with hookworm, A. lumbricoides and whipworm infections accounted for 81.19% (164/201, 69.33% (339/489) and 78.29% (429/548) respectively. From 2016 to 2021, the infection rate of STH in Gongshan County was 38.78% (389/1 003), 14.76% (156/1 057), 6.53% (68/1 042), 13.15% (134/1 019), 11.89% (121/1 018) and 5.79% (60/1 036), respectively. There was significant difference in the infection rate among different years (χ2 = 581.98, P < 0.01). Among the five townshipssurveyed, the infection rate of STH was the highest in Dulong River township (32.07%, 398/1 241), and the lowest in Cikai town (9.09%, 112/1 232).The infection rate of STH was statistically significant among different village (χ2 = 359.24, P < 0.01). The infection rate of STH was 11.20% (291/2 598) in male and 17.81% (637/3 577) in female, with significant difference (χ2 = 51.49, P < 0.01). The STH infections were found in all age groups with the highest infection rate in the age group 3 to 9 years old (28.21%, 244/865). People of the Dulong ethnic group had the higher STH infection rate of 30.39% (392/1 290) than people with other ethnic groups. Children possessed the highest infection rate of 27.78% (170/612) compared with people with other occupations. In terms of education, the STH infection rate was highest among preschool child 27.48% (169/615). The infection rate of STH was statistically significant among different agegroups, nationalities, occupations and educational levels (χ2 = 172.16, 310.89, 195.59, 197.59; P < 0.05). The results showed that the infection rate of STH in Gongshan County decreased significantly from 2016 to 2021, but remained at a high level. Combined with the rural revitalization project, the comprehensive control of STH should be continued to strengthen among key populations such as Dulong nationality, children and the elderly.

Cite this article

DUAN Chenli , HE Dongmei , YANG Shu , ZHANG Yanli , LUO Zirong , XIONG Bicai , ZI Jinrong , PENG Jia , WU Fangwei . Surveillance on soil-transmitted helminth infections in Gongshan County of Yunnan Province from 2016 to 2021[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023 , 41(6) : 766 -771 . DOI: 10.12140/j.issn.1000-7423.2023.06.016

References

[1] Chen YD, Zhu HH, Huang JL, et al. Status and working principals of soil-transmitted nematodiasis during new period in China[J]. Chin J Schisto Control, 2019, 31(1): 23-25. (in Chinese)
  (陈颖丹, 朱慧慧, 黄继磊, 等. 我国土源性线虫病流行现状及新时期防控原则[J]. 中国血吸虫病防治杂志, 2019, 31(1): 23-25.)
[2] Li BF, Wu FW, Yan XL, et al. Survey of key human parasitic infections in the Eastern Tibet and Western Sichuan Eco-region, Yunnan Province, China[J]. Chin J Parasitol Parasit Dis, 2019, 37(6): 718-722. (in Chinese)
  (李奔福, 吴方伟, 严信留, 等. 云南省藏东-川西生态区人体重点寄生虫病流行现状调查[J]. 中国寄生虫学与寄生虫病杂志, 2019, 37(6): 718-722.)
[3] Wu FW, Wang LB, Li BF, et al. Prevalence of human soil-borne nematode infections in Yunnan Province: a cross-sectional study in 2015[J]. Chin J Schisto Control, 2021, 33(5): 513-517. (in Chinese)
  (吴方伟, 汪丽波, 李奔福, 等. 2015年云南省人体土源性线虫感染调查[J]. 中国血吸虫病防治杂志, 2021, 33(5): 513-517.)
[4] Wang LB, Wu FW, Du ZW, et al. Prevalence of infection with soil-transmitted nematodes in Yunnan Province[J]. J Pathog Biol, 2015, 10(7): 634-637, 658. (in Chinese)
  (汪丽波, 吴方伟, 杜尊伟, 等. 云南省人群土源性线虫感染现状调查[J]. 中国病原生物学杂志, 2015, 10(7): 634-637, 658.)
[5] Dong Y, Du ZW, Zhang ZX, et al. Analysis on the epidemic status of intestinal parasitic diseases in Yunnan Province[J]. Chin J Parasit Dis Control, 2005(6): 448-450. (in Chinese)
  (董莹, 杜尊伟, 张再兴, 等. 云南省肠道寄生虫病流行现状分析[J]. 中国寄生虫病防治杂志, 2005(6): 448-450.)
[6] The People’s Government of Gongshan County. The statistical bulletin from Bureau of Statistics of Gongshan County[EB/OL]. (2023-04-10) [2023-05-06]. https://www.gongshan.gov.cn/tjj/tjgb/. (in Chinese)
  (贡山县人民政府. 贡山县统计局统计公报[EB/OL]. (2023-04-10) [2023-05-06]. https://www.gongshan.gov.cn/tjj/tjgb/.)
[7] Zi JR, Wang LB, Yang YM, et al. Current status of Ascaris lumbricoides infection in populations in Yunan Province, 2015[J]. Chin J Parasitol Parasit Dis, 2021, 39(2): 273-277. (in Chinese)
  (字金荣, 汪丽波, 杨亚明, 等. 2015年云南省人群蛔虫感染现状调查[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(2):273-277.)
[8] Cai X, Yang YM, Li BF, et al. Investigation on the prevalence of human parasitic infections in the ecoregion of southern part of Yunnan-Guangxi-Guangdong neighboring area, Yunnan Province in 2015[J]. Chin J Parasitol Parasit Dis, 2021, 39(6): 848-852. (in Chinese)
  (蔡璇, 杨亚明, 李奔福, 等. 2015年云南省滇桂粤南部生态区人体重点寄生虫感染情况调查[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(6): 848-852.)
[9] Wu FW, Wang LB, Li BF, et al. Survey on current status of human hookworm infection in Yunnan Province in 2015[J]. Chin J Parasitol Parasit Dis, 2020, 38(6): 781-784. (in Chinese)
  (吴方伟, 汪丽波, 李奔福, 等. 2015年云南省人体钩虫感染现状调查[J]. 中国寄生虫学与寄生虫病杂志, 2020, 38(6): 781-784.)
[10] Zhu AY, Du K, Li AM, et al. Surveillance results of national monitoring site for soil-transmitted nematode infections in Guizhou Province in 2011—2015[J]. Chin J Parasitol Parasit Dis, 2017, 35(5): 445-449, 455. (in Chinese)
  (朱爱娅, 杜坤, 李安梅, 等. 2011—2015年贵州省土源性线虫感染监测结果分析[J]. 中国寄生虫学与寄生虫病杂志, 2017, 35(5): 445-449, 455.)
[11] Chen YD, Huang JL, Zhu HH, et al. China’s control process of soil-transmitted helminth infections from pandemic to low-endemic levels[J]. Chin J Parasitol Parasit Dis, 2019, 37(4): 395-398. (in Chinese)
  (陈颖丹, 黄继磊, 朱慧慧, 等. 我国土源性线虫从高感染到低感染水平的防治历程[J]. 中国寄生虫学与寄生虫病杂志, 2019, 37(4): 395-398.)
[12] Zeng XJ, Jiang WS, Xie SY, et al. Trends of soil-transmitted nematode infections in Jiangxi Province[J]. Chin J Schisto Control, 2017, 29(6): 710-715. (in Chinese)
  (曾小军, 姜唯声, 谢曙英, 等. 江西省土源性线虫病流行趋势分析[J]. 中国血吸虫病防治杂志, 2017, 29(6): 710-715.)
[13] Chen YH, Xie HG, Xie XL, et al. Current status and control effect of soil-transmitted nematode infections in human population of Fujian Province from 2017 to 2019[J]. Chin J Parasitol Parasit Dis, 2022, 40(1): 84-87, 93. (in Chinese)
  (陈云虹, 谢汉国, 谢贤良, 等. 2017—2019年福建省人群土源性线虫感染现状及防治效果[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(1): 84-87, 93.)
[14] Xie XL, Chen YH, Jiang DW, et al. Prevalence of the soil-transmitted nematode infections in the national surveillance site in Zhangzhou City from 2016 to 2020[J]. Chin J Parasitol Parasit Dis, 2022, 40(4): 545-548. (in Chinese)
  (谢贤良, 陈云虹, 江典伟, 等. 2016—2020年漳州市国家监测点土源性线虫感染情况[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(4): 545-548.)
[15] Yu WJ, Wang ZJ, Wang B, et al. Surveillance and trends of soil-transmitted helminth infections in Liaoning Province, 2016—2020[J]. Chin J Parasitol Parasit Dis, 2022, 40(2): 211-215, 222. (in Chinese)
  (于维君, 王子江, 王博, 等. 2016—2020年辽宁省土源性线虫感染现状及流行趋势[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(2): 211-215, 222.)
[16] Tao H, Zhou XM, Wang HZ, et al. Intestinal parasite infection of Dulong pupils in Yunnan Province in 2012 and 2016[J]. Chin J Sch Heath, 2019, 40(6): 939-941. (in Chinese)
  (陶洪, 周晓梅, 王会珍, 等. 云南省独龙族小学生2012和2016年肠道寄生虫感染情况[J]. 中国学校卫生, 2019, 40(6): 939-941.)
[17] Cai MQ, He YJ, Meng C, et al. Investigation and epidemiological analysis on the infection of intestinal parasitesin pupils of a minority territory of Yunnan Province[J]. Lab Med Clin, 2016, 13(16): 2292-2293, 2296. (in Chinese)
  (蔡敏琪, 何宇佳, 孟铖, 等. 云南省某少数民族地区小学生肠道寄生虫感染调查及流行病学分析[J]. 检验医学与临床, 2016, 13(16): 2292-2293, 2296.)
[18] Cao M, Wu YJ, Ye RX, et al. Soil-transmitted nematode infections and influencing factors in pupils from rural areas of Yi Ethnicity in Butuo County, Sichuan Province[J]. Chin J Schisto Control, 2019, 31(2): 155-159, 177. (in Chinese)
  (曹敏, 吴玉菊, 叶睿雪, 等. 四川省布拖县彝族农村小学生土源性线虫感染及影响因素分析[J]. 中国血吸虫病防治杂志, 2019, 31(2): 155-159, 177.)
Outlines

/

〈 〉